Travis, Jennie L

Travis, Jennie L is an individual health care provider with primary practice located at 100 Kahelu Ave Ste 112 , Mililani HI 96789-3913. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Travis, Jennie L can be contacted via phone (808) 625-3000.

Contact Information

Primary practice address
100 Kahelu Ave Ste 112 Mililani HI 96789-3913
Phone: (808) 625-3000
Fax: (808) 625-3006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8945 Colorado
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA-495 Hawaii

Profile Details

NPI number 1073881389
LBN Legal business name Travis, Jennie L
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2011
Last updated Dec 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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